| NPI | 1386397230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R235374) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE R235374) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-02 |